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Is this tip de-rotation possible? Primary rhinoplasty left me with an overly upturned, scooped out nose. (Photos)

pumpkinitaaMar 10, 2022
6-weeks post op primary rhinoplasty. I was looking for subtle refinements and emphasized the importance of looking the same from the front, but slightly more refined. I wanted my bump minimized but NOT ski slope scooped out. Sadly, I did not get the result I wanted and I suspect I have a collapsed right nostril. Is this tip derotation and possibly adding projection possible? I want to re-balance my front profile and move on from all this :(

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Dr. Jonathan Kulbersh, MD
Board Certified Facial Plastic Surgeon
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Answered on May 19, 2022
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Thomas A. Mustoe, MD, FACS profile photo
Dr. Thomas A. Mustoe, MD, FACS
Board Certified Plastic Surgeon
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Answered on Mar 12, 2022
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Jonathan Kulbersh, MD

Hello, and thank you for your question. It isn't until a full year after a rhinoplasty that results are truly definitive. At this point, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio....

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Barry M. Weintraub, MD, FACS

As a board certified plastic surgeon who performs many revision rhinoplasties, I hear concerns like yours frequently. The normal ageing process causes the nasal tip to droop. However, I prefer to use cartilage struts in the nasal tip to prevent plunging tips, and these struts function to prevent...

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Edwin F. Williams, III, MD

Thank you for your question. Notched ala is a complication of rhinoplasty that can sometimes be seen. There are techniques to improve the appearance and lower the ala to a more natural position using composite grafting from the ear. I recommend consultation with a board-certified facial plastic...

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